Comment by timr

8 hours ago

You missed three very important caveats that complicate the story you’re trying to tell:

1) not every strain of HPV causes cancer (iirc, the bad ones are rare).

2) many people (in fact, most people) who are active in the world have been infected with at least one strain of HPV.

3) it’s common to have asymptomatic HPV infections. you probably have one now.

one more:

4) the vaccines likely have little effect on anything unless you were vaccinated as a child (and are a biological woman).

Overall, it’s a situation where you’re asking that sexual partners “disclose” something that the partner probably already has, if they bothered to be tested for it to begin with. Moreover, nobody does these tests (in men, at least), because there’s no point to doing them, other than creating anxiety.

I will leave the nuances of bioethics to other people, but it’s not as clear a situation as you’re making it out to be.

One final thing: these infections aren’t “permanent”. They generally clear naturally in a few years.

The situation is pretty clear when you're a woman who got cancer from her boyfriend who knew he had HPV and didn't tell her, or didn't get vaccinated because he didn't feel like it. I think most people would want to avoid that situation. The genital warts thing is just embarrassing but another good-enough reason to get vaccinated early.

On Permanence: 10-20% of HPV infections either don't go away, or go dormant and recur throughout your lifetime. These strains are the ones likely to cause cancer. Low-risk ones cause genital warts that continue causing warts throughout your lifetime. High-risk ones may cause cancer.

The vaccine is available up until 45 years old. Worst case it does nothing, best case it prevents genital warts and cancer.

Does it not prevent cancer in the throat in men? Not sure why that would be women only.

> 4) the vaccines likely have little effect on anything unless you were vaccinated as a child (and are a biological woman).

This guidance is changing. Vaccinating men protects women. Also just because you were infected with one strain, that doesn't mean you can't contract another, possibly oncogenic one. Get vaccinated, it protects against the most common cancer-causing strains. I did, why would I want to unknowingly give someone cancer?

  • >> 4) the vaccines likely have little effect on anything unless you were vaccinated as a child (and are a biological woman).

    > This guidance is changing. Vaccinating men protects women.

    Yeah, it was fucking like pulling teeth getting my HPV vaccine as an adult male. "It's for teenage girls" comments from multiple health care professionals.

    I only took the first fucking dose in the regime, and none of my health care providers now offer low cost or covered options. I had to spend Covid money when I had it. I still need the rest of the regime.

    Thank you thread for the reminder.

    • It's a relatively new vaccine, this commonly happens for a few reasons:

      1. They start with a cautious roll out to the highest lifetime risk population (teenage girls in this case)

      2. They may be limited by vaccine stocks as it does take time to build up product. There's an entire world to vaccinate, billions of doses needed

      3. They need time to prove that it will be useful to give to other populations - in this case, adults

      There's no conspiracy here, you had to push to get it because you were going against the existing recommendations, which were reasonable. Not because of your gender.

      Those recommendations have likely changed recently because when I went in for shots last month (male, 40s) they immediately recommended that me and my partner both get it.